SOCIAL DETERMINANTS
Hello Students!
This will be your final discussion board assignment of the semester for IPE.
Please view the summary of Social Determinants of Health that I have attached to this post then watch this video: https://www.youtube.com/watch?v=diMVgcb8Qzk (You may have to copy and paste link into your browser.)
The video and summary will give you an idea of what Social Determinants of Health is and why it is important to health care. After you have viewed these items continue on to the case study and questions below. Remember to offer new information when posting, don’t repeat what someone else has already posted.
UT Interprofessional Approach to Patient Care
Case: Pablo
Pablo is a 42 year old Hispanic patient. He injured his back on a construction site 8 weeks ago and was seen in the ED with a diagnosis of a herniated disc. He was started on a regimented pain medication schedule which consisted of 2 tablets of Percocet (oxycodone/ acetaminophen) orally every 6 hours as needed and was referred to a Neurosurgeon. He was unable to be seen by the surgeon until 5 days ago. The surgeon recommended a conservative approach of physical therapy for back strengthening, flexibility, and postural exercises and occupational therapy for ADLs before considering surgery.
Pablo’s OT and PT appointments are scheduled for tomorrow, but he slipped in the shower yesterday and has now arrived at the local Community Care Clinic stating his pain is a “9” on a 1- 10 pain scale. He wants the nurse to ask the physician for more medication to better control his pain as he is concerned about his OT and PT appointments scheduled for the next day.
Pablo lives at home with his girlfriend in an inner city apartment and is normally high functioning with ADLs. Pablo has mild hearing loss and English is his second language.
He is a smoker and shows early signs of COPD. He has been unable to work since his injury and rarely leaves his home. He is unable to do the things he used to find joy in. The goal for this patient is to control his pain and return him to his normal level of functioning.
Discussion Questions:
- What unique skills and knowledge can your profession bring to helping this patient from an individual and community perspective?
- Please describe one profession that your profession would work with to help Pablo reach his goal and why? (do not use the same profession as your classmates)
- Please discuss the patient’s problems for one of the topics and how each impacts his health? (do not discuss the same thing as your classmates
- Medical
- Emotional
- Social
- Environmental
- Economic
- What resources does the patient have or that are available in the community that can be mobilized to deal with each problem?
- Why do you think a team approach (includes all medical professions) would be better than an individual approach in meeting the needs of the patient?
- How do different professions understand and use social determinants? (Discuss two different medical professional besides nursing).
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